Health Quality Ontario The provincial advisor on the quality of health care in Ontario Health Links: Excerpts from the Q3 Report 16-Mar-2016

2 Health Links: Improving integrated care for patients with multiple conditions and complex needs

Provincial and Regional Accountabilities within the Health Links Model MOHLTCLHIN Sets the strategic direction for Health Links Provides overall funding to the LHINs Oversees the overall performance of the Health Links initiative to guide strategy Facilitates operational success by implementing provincial level tools and supports Sets regional priorities for Health Links and ensure alignment with provincial priorities Funds Health Links in accordance with priorities Maintains overall accountability for Health Links performance, LHIN by LHIN Drives operations through implementation of plans and support for adoption of provincial tools Identifies and implements regional supports and tools as required Health Quality Ontario Support data collection, timely reports and analysis Lead systematic identification of emerging innovations and best practices Increase rate of progress through standardization of best practices across all Health Links Support inter-Health Link sharing of lessons learned on regional or pan-provincial basis Connect LHIN HL Leads with other relevant provincial quality initiatives

Getting Started – Q3 Update Health Links progressing from planning to recruiting patients 75 of 82 Health Links were actively recruiting patients by the end of Q3 The remaining Health Links continued with their planning In addition to the 82 Health Links funded by the MOHLTC, some LHINs have started planning additional geographies Data Source: Health Quality Ontario’s Quality Improvement Reporting and Analysis Platform (QIRAP) – self-reported by Health Links

5 Health Links at a Glance – Q3 Update

6 Impact to Patients: Terry’s Story “I saw Terry today and wanted to send total kudos to you and the Health Link team. She is truly a new woman – she is positive, optimistic and really engaged in making her life better,” said Dr. Kim Morrison, Chief of Staff, Lennox & Addington County General Hospital. “She credits the walker and bath supports now in place to enjoying bathing and is really liking getting outside to walk. She reports her mood is better and is looking forward to meeting the social worker, she is happy to be off meds. Many thanks for all your assistance & excellent results in making a real difference for this woman and her family.” “We believe strongly in this model of care and it is one of the reasons the South East LHIN continues to support Health Links across the region,” said Paul Huras, CEO of the South East LHIN. “We are hearing incredible stories of real patient outcomes.”

Impact of Health Links – Q3 Update Coordinated Care Plans 14,251 complex patients have been provided with coordinated care plans through Health Links Access to Primary Care 24,195 Health Links patients have been connected to regular and timely access to Primary Care Data Source: Health Quality Ontario’s Quality Improvement Reporting and Analysis Platform (QIRAP) – self-reported by Health Links

Target Population by LHIN *Additional Health Links are in the early planning stages (operational funding not yet approved by MOHLTC) Number of Health LinksTarget Population for Approved Health Links # Actively Recruiting Patients Total # HL PlannedTotal Patients # Target Population (4+ conditions) ESC33 209,03815,715 SW44 (+2) 608,02136,880 WW44 611,08328,990 HNHB11 1,186,74582,470 CW55 767,88737,010 MH77 999,92547,790 TC99 992,35562,875 C35 1,528,55678,695 CE66 (+1) 1,046,94569,155 SE77 416,30129,860 Champlain78 (+2) 838,17948,300 NSM55 377,85224,120 NE35 (+2) 276,06321,035 NW13 (+2) 144,27210,955 Total7582 (+9)10,172,667603,785

Progress by LHIN – Q3 Update # Coordinated Care Plans completed # Patients with regular and timely access to a Primary Care Provider # HL Reporting Q3 Cumulative Total # HL Reporting Q3 Cumulative Total ActualTarget 1 ActualTarget 1 ActualTarget 1 ActualTarget 1 ESC No data SW ,9573,995 WW ,2421, ,6451,597 HNHB , CW5 3741,5662,0895, ,5663,0305,799 MH TC ,7172,673 91,759 1,0307,8944,699 C , ,0931,081 CE ,3491,768 SE ,9642, ,8842,188 Champlain NSM NE NW Total73 of 75 2,8603,75714,25116, of 75 3,9344,25624,19523,391 [1] [1] Targets are set by the Health Link and LHIN, and reflect the maturity of the Health Link (i.e., new Health Links have more modest targets to allow time to establish processes). Data Source: Health Quality Ontario’s Quality Improvement Reporting and Analysis Platform (QIRAP) – self-reported by Health Links